He whero, he mumura rānei ō ringaringa me ō kapu waewae? Tērā pea he "Hand-Foot Syndrome"!

Mena kei te whiwhi koe i te rongoā chemotherapy mō te mate pukupuku, kei te mōhio rānei koe ki tētahi e pangia ana e te mate pukupuku, tera pea ka pāngia koe e te paku rerekētanga, te whero, te pupuhi, te mamae rānei i ō nikau me ō kapu waewae. Ki ētahi, he wheako whakararuraru tēnei. Kaua e manukanuka, he mea noa tēnei. I tēnei rā ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te "Hand-Foot Syndrome - HFS" , e kiia nei rānei e ngā tākuta ko te "Palmar-Plantar Erythrodysesthesia" .

He aha te "Handle-Foot Syndrome"? Kia mārama tātou!

Ki te whakarapopototanga, ko te "Hāngai-Waewae Mate" he tauhohenga kiri i puta mai i ētahi rongoā "chemotherapy". Ina koa, ka whero, ka pupuhi, ka mamae hoki ō ringaringa me ō kapu waewae i ētahi wā. He pānga taha noa tēnei o te maimoatanga mate pukupuku. Nō reira he mea nui kia mōhio koe ki tēnei.

He aha ngā momo rongoā chemotherapy e hua ai te mate Ringa-Waewae?

Ehara i te mea ko ngā rongoā chemotherapy katoa ka puta ai tēnei mate. Heoi, kei reira ētahi rongoā kua kitea he nui ake te tūponotanga ka puta ai tēnei mate. I kitea tuatahitia tēnei "Hand-Foot Syndrome" i te wā i hoatu ai ki ngā tūroro leukemia he nui ngā horopeta o te rongoā "cytarabine".

Ko ngā momo rongoā chemotherapy tino noa e puta ai te HFS ko:

• `(Capecitabine)`
• `(Docetaxel)`
• `(Pegylated liposomal doxorubicin - PLD)`
• `(5-fluorouracil)`

Tērā atu anō ngā momo rongoā mate pukupuku ka taea te whakaputa i te HFS, ahakoa he iti iho:

• `(Bleomisin)`
• `(Cisplatin)`
• `(Siklofosfamida)`
• `(Daunorubicin)`
• `(Doxifluridine)`
• `(Etoposide)`
• `(Fludarabine)`
• `(Gemcitabine)`
• `(Hairokiurea)`
• `(Idarubicin)`
• `(Ixabepilone)`
• `(Methotrexate)`
• `(Mitotāne)`
• `(Paclitaxel)`
• `(Tegafur)`
• `(Tiotepa)`
• `(Vinorelbine)`

Ki te mea kei te tango koe i tētahi o ēnei rongoā, he mea pai kia tūpato koe ki te "(HFS)". Engari kia maumahara, ehara i te mea ka pāngia te hunga katoa e tango ana i ēnei rongoā e tēnei mate.

He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te "Hand-Foot Syndrome"?

Ko te mea nui ko te nui o te rongoā `(chemotherapy)` e hoatu ana ki a koe me te tikanga whakahaere . Whakaarohia, ki te nui te nui o te rongoā `(chemotherapy)` e hoatu ana ki a koe, ki te mea rānei kei te tango tonu koe i te rongoā, he nui te tūponotanga ka pāngia koe e tēnei mate. Ara, ki te mea he nui te rongoā `(chemotherapy)` kei roto i tō tinana mō te wā roa, he nui te tūponotanga ka pāngia koe e te `(HFS)`.

He aha ngā tohu o te `(Hand-Foot Syndrome)`? Me pēhea tātou e mōhio ai?

I te nuinga o te wā ka tīmata ēnei tohu i te rua ki te toru wiki i muri i te tīmatanga o te rongoā mate pukupuku. I te tīmatanga, ka rongo pea koe i te māuiui iti i ō ringaringa me ō waewae. Ā muri ake nei, ka kite pea koe i ngā tohu pēnei i:

• Te pupuhi me te rerekētanga o te tae o ngā ringaringa me ngā waewae: Ko te hunga he kiri mā, ko te hunga he iti te taumata o te melanin, ka kite pea i te whero o ngā nikau me ngā kapu (he rite ki te werawera o te rā). Ko te hunga he kiri parauri, he kiri mangu rānei, ko te hunga he nui te taumata o te melanin, ka kite pea i te pōuri o te kiri o ngā nikau me ngā kapu.
• Te pupuhi i ngā pito o ngā maihao: Tērā pea ka kitea ake te pupuhi, inā koa i ngā wāhi pēnei i ngā papa o ngā pito o ngā maihao.
• Te kikī o te kiri, te mamae, te mamae rānei ina pāngia: Ka kikī, ka mamae rānei te kiri ina pāngia.
• Te pupuhi, te tihore rānei o te kiri: I ētahi wā ka pupuhi, ka tihore rānei te kiri.
• Te mamae ina pā te nikau, te kapu rānei o te waewae ki tētahi mea: Hei tauira, ka mamae pea koe ina hikoi, ina pā atu rānei koe ki tētahi mea.

Tērā pea he tino ngawari, he kore mamae ēnei tohu mō ētahi, ko ētahi ia ka pāngia e te mamae nui e kore ai e taea te mahi i ngā mahi o ia rā.

Me pēhea te tautuhi a ngā tākuta i te "mate ringa-waewae"?

Ki te kite tō tākuta, tō nēhi rānei i ēnei tohu i a koe e whiwhi ana i te chemotherapy, ka whakapae rātou he mate Ringa-Waewae tēnei.

Heoi, ki te mea kei te tango koe i tētahi momo rongoā mate pukupuku e kiia nei ko te `(multikinase inhibitors)`, me whakaaro tō tākuta ki tētahi atu mea. He āhuatanga tēnei e kiia nei ko te `(Hand-Foot Skin Reaction - HFSR)`. He pānga taha anō hoki tēnei o te `(multikinase inhibitors)`. Ka puta anō hoki ngā panoni kiri i te `(HFSR)`. Hei tauira, ka puta pea he kiri mamae, matotoru, kōwhai i ngā wāhi pērā i ngā hononga, ngā kapu o ngā waewae, me ngā kapu o ngā ringaringa.

Nā tēnei, ka taea e te tākuta te tango i ngā pūtau kiri mai i a koe i ētahi wā ka tirohia i raro i te karuārai hei whakatau tika mēnā he HFS, he HFSR rānei tōu.

He huarahi hei ine i te kaha o te "Hand-Foot Syndrome"?

Āe, kua whakauruhia e te National Cancer Institute tētahi tikanga hei whakarōpū i te kaha o tēnei mate, e kiia nei ko te pūnaha whakatauranga . Mā tō tākuta e whakatau me pēhea te rongoā i a koe i runga i tō tohu HFS.

• `(Taumata 1) Mate Ringa-Waewae`: Tērā pea ka pupuhi, ka huri te tae (whero, mangu rānei) i ngā nikau me ngā kapu, engari kāore he mamae .
• `(Taumata 2) Mate Ringa-Waewae`: Haunga ngā tohu o `(Taumata 1)`, tera pea ka pupuhi, ka toto, ka tihore te kiri. Tērā pea ka mamae ka uaua ai te mahi i ngā mahi o ia rā .
• `(Taumata 3) Mate Ringa-Waewae`: He kaha ake ngā tohu i ērā o `(Taumata 2)`. Ka tino kino te mamae, ā, kāore e taea te mahi i ngā mahi noa . Ka uaua pea te kakahu, te kaukau, te haere rānei ki te wharepaku.

He aha ngā rongoā mō te "Hand-Foot Syndrome"?

Nā, kia kite tātou he aha ngā mahi ka taea e tēnei. Mena he tino kino ō tohumate, arā, he nui te pānga ki tō oranga, ā, kāore e taea e koe te noho noa, ka whakatau pea ō tākuta ki te whakamutu i te chemotherapy mō tētahi wā, ki te whakaiti i te horopeta, ki te whakawhiti rānei i a koe ki tētahi atu rongoā.

Heoi, i ētahi wā, he iti noa te pānga o ēnei huringa ki te angitu o te maimoatanga matepukupuku. Mēnā kāore ō tohumate i te tino kino, ka tūtohu pea tō tākuta i ngā huarahi hei whakahaere i ngā pānga taha.

He aha tā tātou e taea ai te whakahaere i ngā tohu?

He tokomaha ngā tāngata ka taea te whakahaere i ngā tohu o te Mate Ringa-Waewae mā te hanga i ētahi whakarerekētanga ngāwari o te noho. Tērā pea ka kitea he whakamarie mā te mahi i ēnei e whai ake nei:

• Whakamahia ngā kirīmi corticosteroid: Ka tohua pea e te tākuta tēnei momo kirīmi hei whakaiti i te pupuhi me te mumura.
• Tāpirihia ngā hinu whakamakuku - ngā hinu whakangawari kiri: Hei ārai i te maroke o tō kiri, hei pupuri hoki i te makuku pai, he mea nui kia whakamahia he hinu whakamakuku kiri. Ka kiia hoki ēnei he hinu whakangawari kiri. Tāpirihia kia maha ngā wā i te rā.
• Whakamahia ngā rongoā whakamamae mamae: Ka taea e koe te tango i ngā pire ā-waha, i ngā rongoā ā-papa rānei mō te mamae, e ai ki te whakahau a tō tākuta.
• Tiakina tō kiri mai i te wera: Hei tauira, whakaitihia te pānga ki te rā, te kaukau i te wai wera, me te rumakina ō waewae ki roto i ngā kaukau wai wera.
• Tāpirihia he tio, he kakahu matao rānei: Hei whakaiti i te rere o te toto ki ō ringaringa me ō waewae, tāpirihia he tio, he kakahu ma rānei kua rumakina ki te wai matao ki ō ringaringa me ō pona waewae mō te 15-20 meneti pea. Kaua e tāpirihia te tio ki tō kiri, engari takaihia ki te kakahu.
• Kia teitei ō ringaringa me ō waewae: I a koe e noho ana i runga i te tūru, kia teitei ō waewae, ā, i a koe e moe ana, waiho he urunga i raro i ō waewae. Pērā anō hoki mō ō ringaringa.
• Mirimiri mārire i tō kiri: Ahakoa kei te pani koe i te hinu kiri, kei te whakamaroke rānei i tō kiri ki te tauera, kaua e mirimiri rawa i tō kiri, engari me papaki mārire.
• Mauria he tōkena me he hū māmā, koretake: Mauria he tōkena kāore i te piri, he mea hanga ki te papanga pēnei i te miro. Pērā anō hoki mō ngā hū, ā, i te nuinga o te wā, ko te mea pai ko te mea māmā pēnei i te hū.

Ko te mea nui ko te whakaiti i te waku i waenganui i ō ringaringa me ō kapu waewae.

Āta karohia te mahi i ēnei mea, mō tētahi wā poto pea:

• Te oma: Nā te mea kei te pā tonu te kapu o ō waewae ki te whenua.
• Ngā mahi i mahia i te pupuri pūmau i te taputapu:
• Kia mau te pupuri i te maripi ina tapatapahia ana ngā huawhenua.
• Te whakamahi i ngā taputapu pēnei i te hoe me te hāri i a koe e mahi ana i te māra.
• Te whakamahi i ngā patu i te wā e whakatikatika ana i te whare (hei tauira, te pupuri i te hama i te wā e wero ana i te whao).
• Te hiki i ngā taumaha.

Ko tēhea te hinu kiri pai rawa atu mō te `(Hand-Foot Syndrome)`?

He hinu kiri kore kakara, kore waipiroKōwhiria. Ka maroke ake te kiri i te waipiro, ka kino ake ai ngā tohu. E kī ana ētahi rangahau mā te paninga o tētahi kirīmi kei roto ko te 10% urea e toru ngā wā i te rā ka āwhina i te whakamama i te kiri me te pupuri i te makuku. Heoi, he pai ake te kōrero ki te tākuta i mua i te whakamahi i tētahi hinu kiri.

Kia pēhea te tere o taku ora ake i muri i te whakamutu i te maimoatanga?

Ka rerekē pea tēnei i ia tangata, i ia tangata. Heoi, ka memeha haere ēnei tohu i roto i ngā wiki e rua ki te rima i muri i te whakamutu i te rongoā chemotherapy. Tērā pea ka roa ake ētahi atu rā kia tino ora ai.

He huarahi hei ārai i te mate Ringa-Waewae?

Ahakoa kāore e taea te ārai katoa, kei reira ngā mea ka taea e koe te mahi hei whakaiti i te mōrearea me te ārai i te kino haere o te mate mēnā ka puta.

• Mena he raruraru kiri tōu (hei tauira, he kiri maroke, he kiri pakaru), he mea whakaaro nui kia rongoatia i mua i te tīmatanga o te chemotherapy.
• He maha ngā huarahi hei whakahaere i ngā tohu i kōrerotia i mua ake nei ka āwhina i te aukati i te tīmatanga o te `(HFS)`.
• Hei tauira, ka kī atu pea te tākuta kia whakamahia e koe he hinu whakamākū mai i te rā ka tīmata ai koe i te rongoā mate pukupuku.
• Ko ngā mea ka taea e koe te mahi i mua i te wā ko te tiaki i tō kiri mai i te wera me te karo i ngā mahi e pēhi ana i ō nikau me ō kapu waewae me tō waewae.

He aha ngā āhuatanga ka pā ki te tangata e pāngia ana e te "Hand-Foot Syndrome"?

Ina hoki, ehara i te mea ka pāngia te katoa e tēnei "Hāngai-Waewae Mate" i te ara kotahi. Ahakoa ka tangohia e rātou te rongoā "(chemotherapy)" kotahi, ka rerekē rawa ngā kare ā-roto o tētahi tangata i ngā kare ā-roto o tētahi atu. Ki ētahi, he iti noa iho pea te raruraru, ki ētahi atu ia, he nui rawa te kino, ā, me whakarerekē te maimoatanga o te mate pukupuku.

Ko te mea pai rawa atu, ko te nuinga o te wā ka memeha haere ēnei tohu ina oti te rongoā mate pukupuku . Ki te tiaki pai koe i tō kiri, ka taea hoki e koe te ārai i ngā pānga roa pēnei i te whara.

Ka taea e te Mate Ringa-Waewae te whakararu i ētahi atu raruraru?

Ko tētahi mea, ka ngaro ngā tapumati o ētahi tāngata mō tētahi wā. He raruraru pea tēnei i ētahi wā. Hei tauira, ina hiahia koe ki ngā tapumati ina haere koe ki tāwāhi, pērā i te tono mō tētahi visa. Kaua e manukanuka, ka tupu anō ō tapumati i roto i ētahi marama i muri i te otinga o te maimoatanga.

Āhea ahau me toro atu ki te tākuta?

He mea tino nui kia whakamōhio atu koe ki tō tākuta mō ngā tohumate katoa e pā ana ki a koe i a koe e whiwhi ana i te rongoā mate pukupuku, ahakoa te iti. Ina koa, me whakamōhio atu koe ki tō tākuta mēnā:

• Mena ka piki haere ngā tohu.
• Mena kua pakaru te kiri, kua tihore te kiri, ā, kua toto.
• Mena ka uaua ō mahi o ia rā nā ō tohumate.

I ngā wā pēnei, ina kōrero koe ki te tākuta , ka taea e ia te hoatu ki a koe te maimoatanga e hiahiatia ana e koe, te whakarerekē rānei i tō chemotherapy.

He aha ngā pātai me pātai atu e au ki te tākuta?

He tino āwhina māu te pātai atu ki tō tākuta, ki tō nēhi rānei i ēnei pātai:

• He aha ngā pānga taha ka pā mai ki ahau ina tangohia te chemotherapy?
• He aha ngā pānga taha me whakamōhio atu ahau ki a koe?
• He aha ngā pānga taha me toro atu ahau ki te tākuta, me haere rānei ki te hōhipera mōna?
• He aha ngā mea ka taea e au te mahi hei ārai i ētahi o ngā pānga taha?
• He hua motuhake anō kei reira (pēnei i ngā hinu whakahinuhinu, ngā kirimi) e taunaki ana koe hei ārai, hei whakahaere rānei i tēnei "Mate Ringa-Waewae"?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Nō reira, he mea tino nui te `(chemotherapy)`, he rongoā whakaora ora mō te mate pukupuku. Heoi, me mārama anō hoki tātou ka puta pea ēnei pānga taha. He mate noa anō hoki te `(Hand-Foot Syndrome)`, engari he maha ngā wā ka taea te whakahaere.

Ki te pā mai ēnei tohu ki a koe , kaua e mataku, kaua hoki e mataku . Ko te mea nui ko te kōrero māhorahora mō tēnei ki tō rōpū hauora. Mā rātou koe e āwhina ki te whakahaere i tō āhua, ā, ka huri i tō mahere maimoatanga mēnā e tika ana. Kāore koe i te mokemoke, ā, kei a koe tētahi rōpū hauora o ngā tākuta, ngā nēhi, me ētahi atu tohunga ngaio hei āwhina i a koe i tēnei haerenga. Nō reira, rapua tā rātou tautoko mēnā he āwangawanga āu.

` Te Mate Ringa-Waewae, HFS, chemotherapy, ngā pānga taha, tauhohenga kiri, erythrodysesthesia palmar-plantar, maimoatanga mate pukupuku, maimoatanga mate pukupuku, ngā pānga taha, mate kiri, mumura palmar, mumura palmar